Organization
ELEVATE SENIORS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER N SIMMONS MD, MPH, FACEP (CHIEF MEDICAL OFFICER)
(480) 398-5555
Entity
Organization
Contact information
Practice address
10320 W MCDOWELL RD STE N1444, AVONDALE, AZ 85392-4879
(866) 888-7078
Mailing address
10320 W MCDOWELL RD, SUITE N1444, AVONDALE, AZ 85392-4863
(480) 398-5555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/27/2014
Last updated
06/22/2015
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